Endoscopic sphincterotomy for choledocholithtasis
- VernacularTitle:经内镜乳头括约肌切开治疗胆总管结石991例临床分析
- Author:
Guodong WU
;
Zhihua LI
;
Yu HE
;
Leida ZHANG
;
Jian CHEN
;
Xiaojun WANG
;
Xia OU
- Publication Type:Journal Article
- Keywords:
Sphincteretomy,endoscopic;
Cholangiopancreatography,endoscopic retrograde;
Choledocholithiasis
- From:
Chinese Journal of General Surgery
2008;23(9):653-656
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate endoscopic sphincterotomy(EST)for the management of choledocholithiasis. Methods Between July 1987 and March 2007,991 cases of choledocholithiasis treated with EST were reviewed,and 710 cases were followed-up. Results All cases were treated with EST.The common bile duct stones were removed in 909 cases(91.7%,909/991).The rate of complications after EST was 6.0%(59/991)including pancreatitls in 29 cases(2.9%),hemorrhage in 18 cases(1.8%),cholangitis in 11 cases(1.1%),and duodenal perforation in 1 case(0.1%).There was no mortality in this group.Follow-up found reflux cholangitis in 51 cases(7.2%)and recurrent choledocholithiasis in 42 cases(5.9%). Conclusion Therapeutic endoscopy for choledocholithiasis is safe and effective.
